Active NPI
Deloris Hynes
- Occupational Therapist
- Staten Island, NY
National Provider Identifier
1629988910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 031392
- Practice address
- 15A Fairfield St
Staten Island, NY 10308-1823 - Phone
- (718) 984-9800
- NPI assigned
- Sep 9, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 031392 | NY | Primary |
Addresses
Primary practice location
15A Fairfield St
Staten Island, NY 10308-1823
Mailing address
467 Klondike Ave
Staten Island, NY 10314-6215
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788912000000",
"number": "1629988910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "467 KLONDIKE AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103146215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15A FAIRFIELD ST",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103081823",
"telephone_number": "718-984-9800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HYNES",
"first_name": "DELORIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-09",
"last_updated": "2026-09-09",
"certification_date": "2026-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "031392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.